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SCOTT M. BARRON M.D.
NPI 1316944259
Internal Medicine - Hematology & Oncology in Monroe, LA

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
1162 OLIVER RD, SUITE 7, MONROE, LA 71201(318) 325-7007(318) 699-0025 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2022, Aug 4, 2022 (2 updates tracked since 2022).

About Scott M. Barron M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT M. BARRON M.D. (NPI 1316944259) is an individual hematology & oncology provider in Monroe, Louisiana, licensed in Louisiana (022538) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Morehouse General Hospital, and maintains a secondary practice location in Monroe.

NPPES Registry Identity

NPI1316944259
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameSCOTT M. BARRONCredential: M.D.
Location Address1162 OLIVER RD, SUITE 7Monroe, LA 71201-5755
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (318) 966-1970 · Fax (225) 765-9196
Phone(318) 325-7007
Fax(318) 699-0025
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1995
Enumeration DateJuly 7, 2005
Last NPPES UpdateOctober 5, 20222 updates tracked since enumeration
NPPES CertifiedOctober 5, 2022
✔ NPI 1316944259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in LA · 022538
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedSpecialistTaxonomy 174400000X · License 022538 (LA)
1162 OLIVER RD, Monroe, LA 71201
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Secondary Practice Location 1

Location 1411 Calypso St Ste 200AMonroe, LA 71201-7551 · Phone (318) 966-1970 · Fax (318) 966-1971

Other Identifiers 3

Medicaid1483028LA
OtherP00077171LA · Rrmc
Other4A418LA · Medicare Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Scott M. Barron M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274521463
PECOS Enrollment IDI20040505001013
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Scott Barron reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Francis Medical Group LLC
1.7 mi
Internal Medicine
312 GRAMMONT ST STE 411
Monroe, LA 71201
  • Reassigned Medicare billing, Louisiana enrollment
  • 222 clinicians in this Medicare group
NPI 1134405087 (318) 966-6480
St Francis Medical Center, Inc
1.8 mi
Diagnostic Radiology
309 JACKSON ST
Monroe, LA 71201
  • Reassigned Medicare billing, Louisiana enrollment
  • 65 clinicians in this Medicare group
NPI 1437149168 (318) 327-4255

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
872 services330 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
573 services377 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
110 services110 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
101 services51 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
68 services64 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
48 services48 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Morehouse General Hospital

Acute Care Hospitals · Bastrop, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190116
Location323 W WalnutBastrop, LA 71220 · Morehouse County
Emergency services

St Francis Medical Center

Acute Care Hospitals · Monroe, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190125
Location309 Jackson StreetMonroe, LA 71201 · Ouachita County
Emergency services Birthing friendly

Glenwood Regional Medical Center

Acute Care Hospitals · West Monroe, LA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number190160
Location503 Mcmillan RoadWest Monroe, LA 71291 · Ouachita County
Emergency services

Citizens Medical Center

Acute Care Hospitals · Columbia, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190184
Location7939 U S Hwy 165 SouthColumbia, LA 71418 · Caldwell County
Emergency services

Monroe Surgical Hospital

Acute Care Hospitals · Monroe, LA
OwnershipProprietary
CMS Certification Number190245
Location2408 Broadmoor BlvdMonroe, LA 71201 · Ouachita County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$164.73 typical visit price
range $53.43 – $164.73
Typical copayment $41.18 (range $13.35 – $41.18)
Most-billed visit code 99205
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
42%705 patients2/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
2%609 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
93%3,072 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
100%27 patients5/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
94%251 patients4/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified
90%1,213 patients3/55-star benchmark: 100%
Oncology: Medical and Radiation - Plan of Care for Pain
Percentage of visits for patients, regardless of age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy who report having pain with a documented plan of care to address pain
90%206 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
14%1,126 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
60%733 patients3/55-star benchmark: 90%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
4%1,036 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 94% · 622 patients
Patients tobacco: 90% · 622 patients
52%56 patients3/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
83%1,126 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%1,126 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$47.51 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$97.66 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers40 claims3,476 services$0.70 avg. paid by Medicare
Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
1 supplier32 claims106 services$31.00 avg. paid by Medicare
Breast prosthesis, mastectomy form L8020
DME-Orthotic Devices · category DF000N
1 supplier29 claims30 services$169.23 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers18 claims18 services$18.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LARRY BROWN
Case Manager/Care Coordinator
1162 OLIVER RD
MONROE, LA 71201
Ouachita Parish (318) 340-1535
JEANETTA TREADWAY
Case Manager/Care Coordinator
1162 OLIVER RD
MONROE, LA 71201
Ouachita Parish (318) 340-1535
ROSIE MOY
Case Manager/Care Coordinator
1162 OLIVER RD
MONROE, LA 71201
Ouachita Parish (318) 340-1535
ALFRED GARRISON JR. LPC
Counselor (Professional)
1162 OLIVER RD
MONROE, LA 71201
Ouachita Parish (318) 340-1535

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Barron's NPI number?

The NPI number for Scott Barron is 1316944259. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Scott Barron located?

Scott Barron practices at 1162 Oliver Rd Suite 7, Monroe, LA 71201. The listed phone number is (318) 325-7007.

What is Scott Barron's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Scott Barron enrolled in Medicare?

Yes. Scott Barron is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Scott Barron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Barron reassigns Medicare benefits to 2 organizations: St Francis Medical Group LLC (Monroe, LA) and St Francis Medical Center, Inc (Monroe, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Scott Barron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Barron accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Scott Barron as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Scott Barron affiliated with any hospitals?

According to CMS data, Scott Barron is affiliated with Morehouse General Hospital, St Francis Medical Center, Glenwood Regional Medical Center, Citizens Medical Center and Monroe Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Scott Barron was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.